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Frequent importation of enterovirus 71 from surrounding countries into the local community of Yamagata, Japan, between 1998 and 2003
Authors:Mizuta K  Abiko C  Murata T  Matsuzaki Y  Itagaki T  Sanjoh K  Sakamoto M  Hongo S  Murayama S  Hayasaka K
Institution:Department of Microbiology, Yamagata Prefectural Institute of Public Health, Tokamachi 1-6-6, Yamagata, 990-0031 Japan. mizutak@pref.yamagata.jp
Abstract:Phylogenetic analysis of 45 enterovirus 71 (EV71) isolates for 6 years in Yamagata, Japan, clarified that the annual outbreak of hand-foot-and-mouth disease was due to four genetically distinct subgenogroups, including a novel "B5." Our results suggest that the importation of EV71 from surrounding countries has had a major epidemiological impact on the local community used in our study.
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